Práticas de enfermagem no processo de trabalho na atenção primaria à saúde: desafios no contexto da pandemia da COVID-19 na região norte do Brasil

Abstract

Objective: To understand the challenges related to the work process and nursing practices in PHC faced by nurses during the covid-19 pandemic in the Amazon region. Methods: Observational study, with a qualitative cross-sectional design carried out in four states in the northern region: Pará, Acre, Rondônia and Roraima, located in the Brazilian Amazon. The collection instrument was a semi-structured interview where the participants were nurses who worked in care or management in primary health care units. The interview data were processed using Bardin's content analysis and the IRaMuTeQ software version 0.7 alpha 2. Results: The average age of the research participants was 40.8 years, the majority were women, 66.7% were mixed race , 30% white, 3.3% black and one nurse did not declare their color. Based on the analysis carried out by the software, the corpus was fragmented into 651 text segments, representing 84.94% of the interview content, resulting in three thematic categories and one subcategory: category 1- The impact of covid- 19 in the assistance of professional nurses; Subcategory 1: nursing care for priority groups during covid-19 category; 2- Nurse care in PHC during covid-19; Category 3- the challenges and biopsychosocial aspects of professional nurses in facing Covid-19. Conclusion: Nurses faced several challenges during the covid-19 pandemic period, such as a substantial increase in demand for healthcare, placing an intense workload on nurses who worked during this period in the Amazon region. There was a need to quickly adapt to new care protocols, including screening, testing and monitoring of patients with Covid-19. A significant transformation was triggered in the way nurses carried out their work, with the internet playing a crucial role in this new work process. There was a significant impact on the biopsychosocial health of nurses.